Individual
LYNNE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
236 HIGHLAND AVE, SOMERVILLE, MA 02143-1495
(617) 591-6300
Mailing address
236 HIGHLAND AVE, SOMERVILLE, MA 02143-1495
(617) 591-6300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
146146
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110074780A
—
MA
01
—
NP1483
BS
MA
Enumeration date
11/22/2006
Last updated
02/07/2012
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